Managed Care Contract Analyst

Full Time Managed Care Contract Analyst

Managed Care Contract Analyst

JOB-10044770

Anticipated Start Date

September 08, 2025

Location

Dallas, TX

Type of Employment

Contract Hire

Employer Info

Our client is one of the largest and most prestigious pediatric health care providers in the country and the leading pediatric health system in North Texas. Their mission is to make life better for children and be committed to the community. In addition to providing health care, they are a leader in life-changing treatments, innovative technology and ground-breaking research, advocacy, education, and preventive care. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits.

Job Summary

We are looking for individuals to join our clients team as Managed Care Contract Analyst. This role involves analyzing managed care contracts, performing financial modeling, maintaining data in EPIC, and supporting leadership with reimbursement strategies and reporting.

Job Description

• Responsibilities include complex data and financial analysis, financial interpretation of contract terms, contract modeling, data validation, developing reimbursement methodologies, maintaining contracts in EPIC and identification of revenue enhancing opportunities.
• Develop alternative financial proposals that are within the budget parameters, based on analysis and modeling of contract performance by developing and preparing revised models using sound rationale, and present recommendations to Managed Care leadership.
• Support the organization by providing ad-hoc detailed data reports related to Managed Care agreements and Patient Financial Services activity to internal and external customers.

Skills Required

• Strong skills in data and financial analysis
• Ability to interpret and model contract terms
• Experience with data validation and reimbursement methodologies
• Proficiency in EPIC for contract maintenance
• Ability to identify revenue opportunities through data insights
• Skilled in developing financial proposals and performance models
• Strong analytical thinking and use of sound rationale in financial modeling
• Excellent communication skills for presenting recommendations to leadership
• Proficient in generating ad-hoc detailed reports for internal and external stakeholders

Education/Training/Certifications

• HB (Hospital Billing) Resolute Epic Certification
• PB (Professional Billing) Resolute Epic Certification

Additional requirements

• Shift: Monday - Friday 8:30-4:30. We close our department on holidays and do not work weekends.

We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.